ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260728*1307*^*00501*000049421*0*P*>~
GS*HS*SKMD0*SKMD0*260728*1307*1487113239*X*005010X279A1~
ST*270*000049421*005010X279A1~
BHT*0022*13*000049421*2607209*1307~
HL*1**20*1~
NM1*PR*2*MARYLAND MEDICAID*****PI*10448~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*COOPER*EDWARD****MI*46703100500~
DMG*D8*19561226*M~
DTP*291*RD8*20260728-20261026~
EQ*42~
EQ*30~
SE*14*000049421~
GE*1*49421~
IEA*1*000049421~